Armed conflicts are increasing globally due to political unrest and the broader effects of climate change.Without resources to provide quality surgical care,it becomes nearly impossible to provide quality emergency su...Armed conflicts are increasing globally due to political unrest and the broader effects of climate change.Without resources to provide quality surgical care,it becomes nearly impossible to provide quality emergency surgery and trauma care similar to that in high-income countries.To understand and help aid organizations provide resources and address the surgical needs of populations facing armed conflict,a matrix to identify variables and help with interventions was envisioned.Apreviously published global surgery matrix based on the PIPES(Personnel,Infrastructure,Procedures,Equipment and Supplies)surgical capacity tool was adapted to this context.The novel matrix incorporates 108 variables.These variables are grossly divided into local and international agency components to address the issue of who is providing care.Using a time continuum of pre-conflict,conflict,and post-conflict allows organizations to concentrate on when during the conflict to target their intervention.In addition to the previously used personnel,infrastructure,procedures,equipment,and supplies categories,a sixth category called standards was included that addresses the issues such as information technology,data systems,quality improvement programs,and patient safety.Pilot testing of this matrix to obtain feedback from end users is the next step in development.Ultimately,peri-conflict preparedness should increase and improve surgical outcomes and reduce in death and disabilities around the world.展开更多
Hospital facility designs are essential to maintaining function during times of disaster.For hospitals to remain open during emergencies,their structuresmust resist forces frommany types of hazards such as earthquakes...Hospital facility designs are essential to maintaining function during times of disaster.For hospitals to remain open during emergencies,their structuresmust resist forces frommany types of hazards such as earthquakes,hurricanes,flooding,and even societal hazards,such as war.Natural disasters are becomingmore dangerous with the advent of global climate change.In this article,we investigate health care building design interventions to protect facilities.Ultimately,amulti-hazard approach is the best way to prepare hospitals for resiliency in the face of disaster.展开更多
The healthcare sector contributes nearly 5%of the total global carbon emissions,and much of this is attributable to the delivery of surgical services.In this article,we reviewthe impact of surgery on climate change an...The healthcare sector contributes nearly 5%of the total global carbon emissions,and much of this is attributable to the delivery of surgical services.In this article,we reviewthe impact of surgery on climate change and propose an approach to identifying targets and reducing the global surgical carbon footprint.展开更多
In 2020,the World Health Organization(WHO)released a report entitled“Urgent Health Challenges for the Next Decade.”Developed by global health care experts,the report covers topics such as extreme weather conditions,...In 2020,the World Health Organization(WHO)released a report entitled“Urgent Health Challenges for the Next Decade.”Developed by global health care experts,the report covers topics such as extreme weather conditions,conflicts,and unfair health care delivery.It also“reflects a deep concern that leaders are failing to invest enough resources in core health priorities and systems.”[1]This work echoed the Sendai Framework for Disaster Risk Reduction 2015–2030 which was adopted by United Nations(UN)Member States on March 18,2015 at the Third UN World Conference on Disaster Risk Reduction in Sendai City,Miyagi Prefecture,Japan.The Sendai Framework outlined seven global targets to be achieved between 2015 and 2030.[2]展开更多
文摘Armed conflicts are increasing globally due to political unrest and the broader effects of climate change.Without resources to provide quality surgical care,it becomes nearly impossible to provide quality emergency surgery and trauma care similar to that in high-income countries.To understand and help aid organizations provide resources and address the surgical needs of populations facing armed conflict,a matrix to identify variables and help with interventions was envisioned.Apreviously published global surgery matrix based on the PIPES(Personnel,Infrastructure,Procedures,Equipment and Supplies)surgical capacity tool was adapted to this context.The novel matrix incorporates 108 variables.These variables are grossly divided into local and international agency components to address the issue of who is providing care.Using a time continuum of pre-conflict,conflict,and post-conflict allows organizations to concentrate on when during the conflict to target their intervention.In addition to the previously used personnel,infrastructure,procedures,equipment,and supplies categories,a sixth category called standards was included that addresses the issues such as information technology,data systems,quality improvement programs,and patient safety.Pilot testing of this matrix to obtain feedback from end users is the next step in development.Ultimately,peri-conflict preparedness should increase and improve surgical outcomes and reduce in death and disabilities around the world.
文摘Hospital facility designs are essential to maintaining function during times of disaster.For hospitals to remain open during emergencies,their structuresmust resist forces frommany types of hazards such as earthquakes,hurricanes,flooding,and even societal hazards,such as war.Natural disasters are becomingmore dangerous with the advent of global climate change.In this article,we investigate health care building design interventions to protect facilities.Ultimately,amulti-hazard approach is the best way to prepare hospitals for resiliency in the face of disaster.
文摘The healthcare sector contributes nearly 5%of the total global carbon emissions,and much of this is attributable to the delivery of surgical services.In this article,we reviewthe impact of surgery on climate change and propose an approach to identifying targets and reducing the global surgical carbon footprint.
文摘In 2020,the World Health Organization(WHO)released a report entitled“Urgent Health Challenges for the Next Decade.”Developed by global health care experts,the report covers topics such as extreme weather conditions,conflicts,and unfair health care delivery.It also“reflects a deep concern that leaders are failing to invest enough resources in core health priorities and systems.”[1]This work echoed the Sendai Framework for Disaster Risk Reduction 2015–2030 which was adopted by United Nations(UN)Member States on March 18,2015 at the Third UN World Conference on Disaster Risk Reduction in Sendai City,Miyagi Prefecture,Japan.The Sendai Framework outlined seven global targets to be achieved between 2015 and 2030.[2]
